Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngokukhawuleza kakhulu kwaye ibetha ngendlela engaqhelekanga? Le meko, evakala ngathi kukho into engalunganga esifubeni sakho, ibizwa ngokuba yi -Atrial Fibrillation (Afib) . Oku kungaqhelekanga kwisingqisho sentliziyo. Ukuba awuyikhathaleli le nto, unokujongana neemeko ezinzima ezifana nestroke ekuhambeni kwexesha. Ngoko ke, namhlanje sithetha ngendlela ephumelele kakhulu neyanamhlanje yokunyanga le meko ye-Afib.
Yintoni iPulmonary Vein Isolation (PVI)?
Ngamafutshane, i-Pulmonary Vein Isolation (PVI) yinkqubo esetyenziselwa ukunyanga i-atrial fibrillation (Afib). Luhlobo lotyando lwentliziyo, kodwa alulotyando olukhulu.
Khawucinge nje, ukusebenza kwentliziyo yethu kulawulwa yinkqubo yemiqondiso yombane. Kwi-Afib, le miqondiso yombane iyabhideka ize iye entliziyweni ngendlela engaqhelekanga. Ngokuqhelekileyo, le miqondiso ineempazamo iqala kwimithambo yegazi emine ethwala igazi elineoksijini ukusuka emiphungeni ukuya kwi-atrium yasekhohlo yentliziyo, ebizwa ngokuba yi-pulmonary veins .
Ngoko ke, into eyenziwa lolu nyango lwe-PVI kukuchonga iindawo apho kuvela khona ezo mpawu zombane zingalunganga kwaye zenze izicubu ezincinci kakhulu kwezo ndawo. Oku kubizwa ngokuba yi -heart ablation . Ezi zicubu zisebenza njengodonga kwaye zithintela ezo mpawu zombane zingalunganga ukuba zingasasazeki kwezinye iindawo zentliziyo. Emva koko intliziyo iphinda ibethe ngokuqhelekileyo.
Ngubani ofanelekileyo kolu nyango?
Olu nyango alulungelanga wonke umntu. Ugqirha wakho ngoyena mntu ufanelekileyo ukuba akhethe. Olu nyango ludla ngokucetyiswa kubantu aba:
- Kwabo baseneempawu nangona besebenzisa amayeza okunciphisa ukubetha kwentliziyo ukulawula imeko yabo ye-Afib.
- Kwabo imizimba yabo ingakwaziyo ukumelana naloo mayeza okanye abafumana iziphumo ebezingalindelekanga kuwo.
Ezinye izifundo ngoku zifumanise ukuba ezinye izigulana zifumana iziphumo ezingcono xa zisebenzisa i-PVI njengonyango lokuqala, ngaphambi kokuba ziqale amayeza. Nangona kunjalo, olu asilonyango oluqhelekileyo kwaye lusaphandwa.
Uyazi njani ukuba olu nyango lukulungele?
Ngaphambi kokuba agqibe kwelokuba oku kulungile kuwe, ugqirha wakho uza kukuxilonga kakuhle. Uza kuhlola imbali yakho yezonyango kunye nazo naziphi na iimvavanyo ozenzileyo. Ezinye zeemvavanyo ezihlala zenziwa ngenxa yale njongo zezi:
- I-Echocardiogram (Echo): Olu luvavanyo lwe-ultrasound lwentliziyo. Lunokujonga ulwakhiwo kunye nomsebenzi wentliziyo.
- I-Electrocardiogram (EKG): Uvavanyo olurekhoda umsebenzi wombane wentliziyo.
- Isikrini seHolter:Esi sisixhobo esincinci osinxiba emzimbeni wakho esijonga isantya sentliziyo yakho ixesha elide, njengeeyure ezingama-24 okanye ezingama-48.
Zithini iindlela zonyango?
Olu nyango lwe-PVI lwenziwa kusetyenziswa indlela ebizwa ngokuba yi-catheter ablation . Oko kukuthi, olu nyango lwenziwa ngokudlulisa ityhubhu encinci kakhulu , eguquguqukayo ebizwa ngokuba yi-catheter ngemithambo yegazi iye entliziyweni. Kukho iindlela ezimbini eziphambili zokulungisa izicubu zesilonda esizikhankanyileyo ngaphambili.
| Indlela yonyango (Indlela yokukhupha isisu) | Ingaba isebenza kanjani |
|---|---|
| Ukususwa kweRadiofrequency | Le yeyona ndlela isetyenziswa kakhulu. Isebenzisa ubushushu obuvela kumaza erediyo ukutshabalalisa izicubu ezijoliswe kuzo. |
| Ukucima | Apha, ukubanda kakhulu kusetyenziswa ukukhenkceza okwethutyana nokutshabalalisa izicubu ezijoliswe kuzo ngokusisigxina. |
Akunakwenzeka ukuthi enye yezi ndlela zimbini ingcono kunenye. Iziphumo zazo zombini ziphantse zifane, kwaye akukho mahluko mkhulu kukhuseleko. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe.
Kwenzeka ntoni ngexesha lonyango?
Ngexesha lonyango, uza kufakwa i-anesthesia epheleleyo (i-anesthesia eqhelekileyo), ngoko awuyi kuva ntlungu, uza kube ulele. Ngamanye amaxesha, kuphela i-anesthetic yendawo enokusetyenziswa. Uza kwaziswa ngale nto kwangethuba.
Kalula nje, nantsi into eyenzekayo:
1. Emva kokwenza i-anesthesia, kwenziwa ukusika okuncinci kakhulu kwindawo yesinqe okanye entanyeni.
2. Ngaloo nxeba, ii-catheter ezimbini zidluliselwa ngomthambo wegazi ziye kwi-atrium yasekhohlo yentliziyo.
3. I-catheter enye ifumana kanye apho kuvela khona imiqondiso yombane engalunganga.
4. Enye i-catheter ikhupha ubushushu okanye umkhuhlane ukuze kudalwe amanxeba kwezo ndawo.
5. Xa umsebenzi ugqityiwe, ii-catheter ezimbini ziyasuswa kwaye i-incision encinci iyavalwa.
Intliziyo yakho ijongwa njani ngexesha lonyango?
Kuyo yonke inkqubo yonyango, kuza kusetyenziswa izixhobo ezininzi ukujonga ukusebenza kwentliziyo yakho kunye neminye imisebenzi yomzimba. Ungakhathazeki, konke oku kungenxa yokhuseleko lwakho.
| Umphathi wesikrini | Ukusetyenziswa |
|---|---|
| I-Cardioverter | Isetyenziselwa ukulawula isantya sentliziyo ukuba siyancipha okanye sinyuka. |
| I-Electrocardiogram (EKG) | Umsebenzi wombane wentliziyo ujongwa kwiscreen ngokusebenzisa izitikha ezininzi ezinamathele esifubeni. |
| Ukujonga Uxinzelelo Lwegazi | Uxinzelelo lwegazi lulinganiswa rhoqo kusetyenziswa i-cuff enamathele engalweni. |
| I-Oximeter Monitor | Ikliphu eqhotyoshelwe emnweni ilinganisa inqanaba leoksijini egazini. |
| I-Fluoroscopy | Into efana nomatshini we-X-ray isetyenziselwa ukujonga apho i-catheter ikhoyo entliziyweni. |
| I-Echocardiography ye-Intracardiac | Isixhobo esincinci se-ultrasound esidlula kwi-catheter sibona ngokucacileyo ingaphakathi lentliziyo. |
Unyango luthatha ixesha elingakanani kwaye zithini iingozi zalo?
Olu nyango ludla ngokuthatha iiyure ezi-4 ukuya kwezi-6.Kungathatha ixesha. Kungumbono omhle ukwazisa usapho lwakho ukuba uza kuba sesibhedlele imini yonke, njengoko kuza kuthatha ixesha ukulungiselela nokuchacha. Kuya kufuneka uhlale esibhedlele ubusuku bonke emva konyango.
Njengakweyiphi na inkqubo yentliziyo, kukho iingozi ezincinci kakhulu . Nangona kunjalo, yinkqubo ekhuselekileyo kakhulu. Iingxaki ezinokubakho ziquka:
- Usulelo kwindawo yokusikwa.
- Kukho ithuba elincinci lomonakalo omncinci wemithambo-luvo ngexesha le-cryoablation.
- Ukugqobhoka kwentliziyo (umngcipheko we-1%).
- Umonakalo kwimithambo yemiphunga (umngcipheko we-1%).
- Istroke (umngcipheko we-0.5%).
- Ukonakala komqala (umngcipheko we-0.25%).
Ukuchacha kunye nokhathalelo emva kwexesha
Usenokuziva ungakhululekanga, udiniwe, okanye uneentlungu esifubeni kwiiyure zokuqala ezingama-48 emva konyango. Oku kuqhelekile. Ungabuyela kwimisebenzi eqhelekileyo emva kweentsuku ezimbalwa. Nangona kunjalo, kuya kuthatha iiveki ezimbalwa ngaphambi kokuba uqale ukwenza imisebenzi enzima efana nokuzilolonga.
Eyona nto ibalulekileyo kukuba emva konyango, izicubu zesilonda ziya kwakheka kwaye kuya kuthatha iiveki ezimbalwa ukuba iziphumo ezipheleleyo zibonakale. Ngeli xesha, unokufumana ukubetha kwentliziyo okungaqhelekanga kwakhona. Ngamanye amaxesha, unokuziva ngathi iimpawu zakho ziya ziba mandundu ngaphambi kokuba zibe ngcono. Oku kuqhelekile, ngoko ungakhathazeki ngako.
Kuya kufuneka usele amayeza aliqela kangangeenyanga eziliqela emva konyango.
- Amayeza okulwa nokubetha kwentliziyo: Lawula isantya sentliziyo de izicubu ezintsha zesilonda zisebenze ngokupheleleyo.
- Izinto ezithintela igazi ukuba ligayeke (izinto ezinciphisa igazi): Ezi zibalulekile ekunciphiseni umngcipheko westroke.
Kuya kufuneka uye kwi-aphoyintimenti yokulandelela kwiinyanga ezi-3-4 kunye nonyaka.
Umyalezo Wokuya Ekhaya
- I-Pulmonary Vein Isolation (PVI) lunyango olukhuselekileyo nolusebenzayo lwe-Atrial Fibrillation (Afib), ingakumbi kwabo banengxaki yokulawula imeko yabo ngamayeza.
- Oku kuquka ukudala amanxeba amancinci entliziyweni ukuvala iindlela apho kuvela khona imiqondiso yombane engalunganga.
- Olu lunyango olwenziwa nge-catheter ngaphandle kokusikwa okukhulu.
- Kungathatha iiveki ezininzi ukuze kuphinde kuphile ngokupheleleyo kwaye kubonakale iziphumo. Kuqhelekile ukuba iimpawu ziphinde zibuye ngelo xesha.
- Nangona oku kunokulawula iimpawu, akuyonto iyeza. Kubaluleke kakhulu ukuqhubeka nokuthatha amayeza okunciphisa igazi achazwe ngugqirha wakho ukunciphisa umngcipheko wakho westroke.
- Ukuba ufumana naluphi na uvakalelo olungathandekiyo, iintlungu esifubeni, okanye ubunzima bokuphefumla, bonana nogqirha wakho ngoko nangoko.
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